| Reordering / refilling drugs that
you previously ordered under an existing prescription.
You are able to refill previously ordered
drugs with ease. Simply fax us your
completed Patient's Refill Order Form when your refills are coming due
or request refills at the time of your original order. Please also be sure to inform
us of any changes to your health profile, billing preferences or contact information.
Patient Refill Order Form
(Choose one of the 4 formats below)
Submit forms Electronically
View as Adobe PDF
View as MS Word
View as HTML
For existing patients with a new
prescription AND Refill (Choose One of the 2 formats below)
Submit forms Electronically
Print
Out Form
If you prefer, you may call in your
refill request at 1-888-730-3338.
|

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